If you have a smile that shows more of your gums than your pearly whites, you might think that’s because your teeth are too small. This condition is known as altered passive eruption. However, often, teeth are the standard size; they are just hidden by excessive gum tissue and are easily fixable. From orthodontic treatments to gum recontouring, there are plenty of options available. Therefore, don’t lose your confidence, and discuss your options with a dentist.
Causes of a Gummy Smile
A gummy smile happens when too much gum tissue shows while smiling. Different factors, including genetics, muscle function, and jaw structure, can cause it. Here are some other causes:
- Genetics
- Excess gum tissue
- Upper lip mobility
- Jaw and bite misalignment
- Dental developmental issues
- Other factors like use of certain medications such as anticonvulsants or immunosuppressants and aging
Ways To Permanently Get Rid Of A Gummy Smile
A gummy smile, or excessive gum display, can be treated with different permanent solutions based on the cause. Some treatments involve minor procedures, while others require surgery. Here are the main options:
- Gingivectomy (Gum Contouring Surgery)
This procedure removes extra gum tissue to expose more of the teeth, creating a balanced gum-to-tooth ratio. It is ideal for people with excess gum tissue due to altered passive eruption or gingival overgrowth. A dentist or periodontist reshapes the gums using a scalpel or laser. Healing takes about 1–2 weeks with minimal discomfort, and the results are permanent. - Crown Lengthening
Crown lengthening removes both gum tissue and a small amount of bone to reveal more of the tooth structure. It is best for those with short teeth due to excess gum coverage or who need dental restorations. The dentist reshapes the gum and bone around the teeth to make them appear longer. Full recovery takes six to eight weeks, providing a permanent solution for a gummy smile. - Surgical Lip Repositioning
This surgery adjusts the upper lip to limit its movement when smiling, covering more of the gums. It is a good option for people with an overactive upper lip or a naturally short lip. A small section of tissue is removed from inside the lip, and sutures keep it in a lower position. Recovery is quick, with stitches removed in 1–2 weeks, and the results are permanent. - Orthognathic Surgery (Jaw Surgery)
For severe cases caused by an overgrown upper jaw, orthognathic surgery repositions the jaw for better balance. The surgeon reshapes and moves the upper jaw (Le Fort I osteotomy) to align it with the rest of the face. This is a major surgery with a long recovery time of several months, but it offers a permanent and dramatic improvement. - Orthodontic Treatment with TADs (Temporary Anchorage Devices)
For gummy smiles caused by over-erupted teeth, orthodontics with TADs can help. TADs are small screws placed in the jawbone to help move teeth into the right position. This gradual process takes several months and is best for mild-to-moderate cases. The result is a permanent improvement in gum exposure and smile balance.
Why Get Rid of a Gummy Smile?
A gummy smile is not only an aesthetic concern, but it can also increase your chances of gum disease. Choosing to fix it is a personal decision based on how it affects confidence, dental health, and entire well-being. People seek treatment for:
- Improving self-confidence
- Enhancing aesthetic balance
- Long-term psychological benefits
- Cultural and professional expectations
- Addressing functional and health issues
Wrapping Up
No one should feel self-conscious about their smile. To get rid of a gummy smile, it’s best to speak to your dentist. They will examine your smile and suggest the best possible treatment options.
Visit our friendly dentist, Dr. Ayesha Muzaffar, at iCare4Smiles. Our doctor is an active member of the American Dental Association (ADA), New Jersey Dental Association (NJDA), and other similar associations. Call us at (732) 800-9524 to book an appointment.